Nathaniel Stewart, MD

Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were not treated or required major open surgery, can now be performed using this technique. It is a useful diagnostic tool in investigation of hip pain.

This instruction sheet is for arthroscopic hip procedures.
 
1.    Crutches are encouraged for the weeks following surgery to protect the surgical site.  Try to avoid being up on the hip for lengthy periods of time in the first week for standing, walking or sitting.

2.    Range of motion of the hip should begin as soon as possible after surgery.   Please attempt to do range of motion exercises 4-5 times per day in the first week.

3.    Ice your hip as frequently as possible.  We recommend 4-5 times per day for 20-25 minutes per time.  You may use either the ice bag given to you at the hospital or simply place ice in a zip lock bag and place on the hip.

4.    Exercises to begin on the first day after surgery are specified on the hip arthroscopy rehab prescription sheet.

5.    You may remove the large dressing on your hip on the second or third day following surgery depending on how uncomfortable it is, or if there is drainage.  Dressings may be removed all the way down to the steri-strips that are covering the portals.  Please keep the steri-strips intact.  You may cover them with 4 x 4 gauze pads.

6.    You may shower 2 days after surgery.  Let clear water run over the incisions, do not scrub them.  No baths or soaking the incision until 10 days after surgery.

7.    Strong oral pain medication will be prescribed for use during the first few days.  Please attempt to use it sparingly, using aspirin, Tylenol or ibuprofen products to supplement the prescribed pain medication.  If additional pain medication is needed, please call the office during regular business hours, Monday-Friday 8:00 a.m. to 5:00 p.m.

8.    Report any worrisome conditions to your surgeon immediately.  This includes unrelenting pain or swelling, fevers, chills and redness or drainage of the wound.

9.    Return to work is variable depending on the type of employment.  Generally you should not engage in activities that prolong or increase the swelling of your hip.

10.    Make sure an appointment has been scheduled for you at the clinic for approximately 1 week after surgery.